Extra Coronal Provisional Restorations Flashcards

1
Q

when is a temporary restoration provided

A

between tooth prep and fit of indirect restoration

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2
Q

what characteristics should provisional restorations have

A

restore tooth function
provide coronal seal
have good marginal fit
be well contoured
be cleanable
establish and maintain dental aesthetics
prevent sensitivity
prevent microleakage
confirm tooth prep is adequate
occlusal stability
preserve or improve function

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3
Q

what are the desirable characteristics of provisional materials

A

non-irritant
low temperature rise during setting
dimensionally stable
adequate working time
adequate setting time
adequate strength and wear resistance
good aesthetics

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4
Q

what are the types of provisional restoration

A

custom formed
preformed

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5
Q

what material is used for custom resin provisional crowns

A

bis acrylic composite resin
protemp

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6
Q

why do you make the temporary before impression for definitive restoration

A

to help check that tooth prep is satisfactory

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7
Q

what material is used to make a sectional impression for a temporary

A

addition cured silicone putty - best
alginate - cannot be reused, cheaper
softened modelling wax - cannot be reused

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8
Q

what is the method for custom resin provisional crowns

A

sectional impression
prepare tooth for chosen restorations
syringe bis acrylic composite resin material onto mixing pad
syringe material into sectional impression of tooth that has been prepared
relocate impression in the mouth
remove before complete polymerisation
remove completely
remove flash and ledges
confirm tooth prep
check marginal fit and occlusion
check aesthetics
cement provisional restoration

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9
Q

how do you establish occlusion and aesthetics if there is loss of original tooth form due to wear cases

A

pilot occlusion and aesthetics using provisionals
if patient happy then take impressions of provisional in situ

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10
Q

how do you establish guidance

A

produce on crowns via diagnostic wax up and study models and facebow

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11
Q

what are the problems with preformed crowns

A

unlikely to fit accurately
large bank of crowns needed

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12
Q

when are preformed provisional crowns useful

A

for situations where no impression is taken prior to tooth preparation or damage

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13
Q

what are polycarbonate crowns

A

tooth coloured shells with tooth morphology

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14
Q

what is the method for a preformed provisional crown

A

select shell slightly larger than preparation
trim back until correct dimensions and seats fully over tooth prep
fill shell with protemp
seat over tooth
allow polymerisation
remove
check fit
trim/tidy if necessary
cement
cut off tag

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15
Q

what teeth are metal preformed crowns used for

A

posterior teeth

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16
Q

what advice do you give patients once they have had a temporary fitted

A

maintain good OH
brush 2-3x daily
interdental cleaning

17
Q

what are the four clinical stages for indirect restorations

A

-preparation
-temporisation
-impressions and registration
-cementation

18
Q

features of custom formed and preformed provisional restoration

A

Custom formed
- “Bespoke” to individual situations
- Preferable
- Can be technically demanding

Preformed
- Standard shapes and sizes
- Adjust to fit chairside

19
Q

what is the svensen gauge

A

checks thickness of temporary to see if you have done adequate tooth prep
type of caliper